Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.34 / $777.11 / $4,933.00	Facility		$111.34	$777.11	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $159.01 / $209.67	Professional		$95.04	$159.01	$209.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.17 / $486.23 / $658.76	Facility		$417.17	$486.23	$658.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $84.97 / $183.53	Professional		$25.83	$84.97	$183.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $136.24 / $260.39	Professional		$89.27	$136.24	$260.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $726.57 / $4,933.00	Facility		$184.66	$726.57	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $184.66 / $264.18	Professional		$111.34	$184.66	$264.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $154.24 / $228.52	Professional		$117.74	$154.24	$228.52
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $231.87 / $299.05	Professional		$167.30	$231.87	$299.05